AMY ELYSE JACOBS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019121

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELYSE

Last Name

JACOBS

Business Name

AMY ELYSE JACOBS

Original Issue Date

02/07/2017

Effective Date

10/22/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022